Individual provider Active NPI

Luis Renta Rosa, MD

  • Cardiovascular Disease Physician
  • Carolina, PR
National Provider Identifier
1265744734
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
020717 Issued in PR
Practice address
3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone
(787) 726-7438
Fax
(787) 726-7438
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 020717 PR Primary

Addresses

Primary practice location

3018 Ave Isla Verde
Carolina, PR 00979-4844

Mailing address

3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone (787) 726-7438

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 13191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810002309 PR Practitioner - Cardiovascular Disease (Cardiology) 3678844529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University Central del Caribe Escuela de Medicina, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardio Health CSPGroup PAC ID 6406921881, 5 clinicians

Practice addresses (Care Compare)

3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone (787) 726-7438

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020717PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiohealth PSC Cardiovascular Disease Current Accepting new patients
Cardio Health CSP Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients

Locations

3018 Ave Isla Verde
Carolina, PR 00979
Phone (787) 726-7438

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265744734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 AVE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794844",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 AVE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794844",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-7438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582 x13191",
            "fax_number": "787-641-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTA ROSA",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "020717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.